Mental disorders, Violence and Offending- Part 1. Flashcards

1
Q

What is aggression?

What is it split into?

A

Behavior- that is hostile, injurious, or destructive + can inflict injury or damage to people or objects.

Violent + non-violent.

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2
Q

Continuation with aggression:

Give an example of non-violent aggression.

Give an example of violent aggression.

What is aggression on?

A

Non-violent- harassment or verbal assault.

Violent- use physical force or power- results in harm or injury.

A continuum of severity- can go from name calling (non-violent) to injury (violence).

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3
Q

What is violence?

Give 2 examples of violence.

Can the definitions of violence and aggression overlap?

A

Intentional behavior- involves verbal threats or assaults- or physicality.

1) Damaging property.
2) Self-harming (includes suicide).

Yes.

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4
Q

More on aggression and violence:

For aggression, what is important about the person?

What about the victim?

Can violence be seen as a severe form of aggression?

A

They are motivated to harm.

Motivated to avoid harm.

Yes.

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5
Q

What can premeditated aggression also be called?

What is premeditated aggression?

Give an example of this using people on the extreme end.

A

Instrumental, proactive or predatory aggression.

Violent act that is planned.

Sex offenders- plan- target victim, learn whereabouts etc.

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6
Q

What is impulsive aggression?

What is it also called?

Give an example of it.

A

Affectively driven + comes with things like high levels of autonomic arousal (pulse and skin conductance).

Reactive or affective aggression.

If someone is scratching your car in front of you, you will react by shouting or hitting- you did not plan to do this.

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7
Q

What is premeditated aggression linked to?

What is it more than impulsive aggression?

What is aggressive acts not (violent and non-violent)?

A

Aggressive recidivism.

More pathological form of aggression.

Criminal- aggression is adaptive- use can use it when you are in danger.

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8
Q

What has mental health exaggeratingly been associated with?

How was this achieved?

What does evidence in terms of this show?

A

Aggression and violence.

Through the media.

Those with mental illnesses are responsible for a small fraction of violence in society.

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9
Q

What exists between mental illness and violence?

Who suffers from more mental health issues than the normative population?

A

Association- modest but significant.

Those in prison.

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10
Q

Mental illness in the prison population:

Who did a study on this?

What did they do?

What did they look at?

What did they find?

What else did they find?

A

Fazel and Danesh (2002).

Did a meta-analysis- looked at 12 countries.

Prevalence of mental illness- in prison populations- of these 12 countries.

Higher prevalence- of mental illness- in prisoners- compared to normative population.

1) 1/7 prisoners- mood or thought disorder (includes psychosis).
2) 1 in 2 men + 1 in 5 women- had antisocial personality disorder.

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11
Q

Continuation from mental illness in the prison population- Fazel and Danesh (2002):

When else was similar results found again by Fazel and others?

A

2006 + 2012.

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12
Q

Continuation from mental illness in the prison population:

Who did this study?

Who did this study involve?

What did they find?

A

Fazel, Doll and Langstorm (2008).

Youth in the criminal justice system.

Detained youth = more mental illness than the general population.

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13
Q

What is axis I?

What is axis II?

A

Major clinical disorders- like schizophrenia, bipolar, anxiety disorders, substance abuse, psychosis etc.

Personality disorders + intellectual disability.

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14
Q

Schizophrenia and criminal offending:

Who did an important study on this?

What did they look at?

How many people did they look at?

Over how long did they look at them?

What were those diagnosed and not diagnosed with schizophrenia matched on?

A

Wallace et al (2004).

Relationship- between criminal offending + diagnosis of schizophrenia.

2,861 people.

25-year period- followed them up to see who will be involved with the CJS.

Things like age and gender.

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15
Q

Continuation from Wallace et al (2004) study:

What did the results find?

Who was this significant relationship seen in?

Say the stats for males.

Say the stats for females.

A

Schizophrenics- more likely- convicted of a criminal offense- than community counterparts.

Males and females.

Men- 31.3% (schizophrenics convicted) vs 11.7% of community.

Females- 7.7% (schizophrenics convicted) vs 2.2% of community.

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16
Q

Continuation from Wallace et al (2004) study:

What is a limitation of epidemiological studies (before so not including Wallace’s study)?

Whoses study is different to these epidemiological studies?

A

Looking at mental illness in prison population- do not know when it started- before or after entering prison.

Wallace’s study.

17
Q

Continuation from Wallace et al (2004) study:

When do those diagnosed with schizophrenia in this study start offending?

What is significantly higher for patients with schizophrenia than the community sample?

A

Within first 5 years after admission.

Frequency of violent offenses

18
Q

Continuation from Wallace et al (2004) study:

What are those with schizophrenia more likely to commit than the community sample?

What else are they more likely to commit than the community sample?

A

Property-related offences- different to violent offences.

Substance-related offenses.

19
Q

Continuation from Wallace et al (2004) study:

What can patients with schizophrenia also have?

How many of them with schizophrenia have it?

What is there a significant relationship between?

How much of those with a substance use disorder were convicted of an offense?

What one risk factor for offending?

A

Co-occurring substance use disorder.

11.4%.

Having a substance use disorder + being convicted of an offense.

68.1% versus 11.7% without a substance use disorder.

Schizophrenia- particularly for violent offending.

20
Q

Continuation from Wallace et al (2004) study:

What is a limitation of this study?

Does this study provide more robust evidence than other studies?

Where was Wallace’s study done?

A

Does not reflect a causal relationship- there are other things involved in the diagnosis of schizophrenia that needs to be accounted for.

Yes.

Australia.

21
Q

The national confidential inquiry into suicide and homicide by people with mental illness 2012/2018:

What does this project do?

What is higher for those with mental illness than the general population?

What causes this?

A

Collect data on homicide + suicide from those with mental illness- then produce reports which include recommendations for services.

The rate of suicide.

Isolation + stigma from the public.

22
Q

Continuation from the national confidential inquiry into suicide and homicide by people with mental illness 2018:

What does this inquiry look at?

How many people convicted of homicide were mental health patients?

What was the most common diagnosis in England and Wales?

What about Northern Ireland?

What is an important thing the inquiry found?

Who were more likely to be victims of homicide compared to the general population?

A

The UK.

11%.

Schizophrenia.

Alcohol dependence misuse.

Stranger homicides decreased- less likely committed by patients.

Patients.

23
Q

Continuation from the national confidential inquiry into suicide and homicide by people with mental illness 2018:

What have findings from this inquiry highlighted?

What are two recommendations they made based on the findings?

A

Risk of homicide- by mental health patients- related to use of alcohol and drugs (commodities)- rather than mental health itself.

1) Reduce alcohol and drug misuse.
2) Treatment + contact should be maintained with patients at risk of losing contact with services.

24
Q

What should you do when looking at a causal link for schizophrenia?

A

Look at that only- other criminogenic risk factors like environment should not be included.